Individual provider Active NPI

Allen Zetterlund, P.T.

  • Physical Therapist
  • Saint Cloud, MN
National Provider Identifier
1861531659
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2025 Stearns Way
Suite 114
Saint Cloud, MN 56303-4491
Phone
(320) 229-1500
Fax
(320) 229-1505
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2025 Stearns Way
Suite 114
Saint Cloud, MN 56303-4491

Mailing address

2025 Stearns Way
Suite 114
Saint Cloud, MN 56303-4491
Phone (320) 229-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861531659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 STEARNS WAY",
            "address_2": "SUITE 114",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034491",
            "telephone_number": "320-229-1500",
            "fax_number": "320-229-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 STEARNS WAY",
            "address_2": "SUITE 114",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034491",
            "telephone_number": "320-229-1500",
            "fax_number": "320-229-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZETTERLUND",
        "first_name": "ALLEN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.